Monitored anesthesia care for craniotomy in a patient with Eisenmenger syndrome: A case report

Table 1 Case report timeline

Item		Timeline
Preoperative	1	Admission for a severe headache lasting 30 d
	2	Past history-Large perimembranous VSD with bidirectional shunt flow and pulmonary arterial hypertension 10 years ago
	3	MRI-A round mass in the right frontal lobe
	4	Plan-craniotomy under MAC
Perioperative	5	Arterial cannulation and arterial blood gas analysis
	6	Advanced hemodynamic monitoring-CO, SV, SVV
	7	Oxygen supply-high-flow nasal cannula
	8	MAC induction with dexmedetomidine loading
	9	Central venous catheterization
	10	Remifentanil, remodulin infusion
	11	Neuronavigation system set
	12	Craniotomy and stereotactic aspiration
Postoperative	13	ICU for 3 d
	14	Discharge on POD 5

MRI: Magnetic resonance imaging; MAC: Monitored anesthesia care; CO: Cardiac output; SV: Stroke volume; SVV: Stroke volume variation; ICU: Intensive care unit; POD: Postoperative day; VSD: Ventricular septal defect.